53:49-54:58
I wanted to just try to illustrate and, and simplify what we're talking about between these different types of anesthesia, so general anesthesia would generally require intubation and mechanical ventilation but with regional anesthesia you can place a needle into someone's back and where that needle exactly is placed in the spine helps us to distinguish between what would be considered an epidural injection or a spinal injection.
こちらのスライドで、2種類の麻酔について説明します。全身麻酔は一般に挿管が必要で、人工呼吸器により管理されます。また局所麻酔では、背中に針を刺すことになりますが、背骨のどの部位に針を刺すかによって、硬膜外麻酔か脊椎麻酔かが区別されます。
As you can see here the catheter is threaded outside of the dura. This really thin yellow line is the dura and inside the dura is the spinal fluid, which is brown and what you see in the big yellow cord there that's actually your spinal cord, so an epidural injection is going outside of the dura and placing the anesthetic in that epidural space and that's different from a spinal injection because at that time you're going through the dural layer and actually injecting the anesthesia into the spinal fluid and that has a number of different ramifications.
こちらの図からわかるように、カテーテルが硬膜の外に挿入されています。黄色い細い線が硬膜を示しており、硬膜の内部は髄液により満たされています。髄液は茶色で示されています。太い黄色の部分が脊髄です。硬膜外麻酔では、硬膜の外側にある硬膜外腔に麻酔薬を注入します。脊椎麻酔では、硬膜を突き破って髄液の中に麻酔薬を注入します。脊椎麻酔には異なる方法がいくつかあります。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
